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Individual

DR. DANIEL WILLIAM BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
508 FULTON ST, DURHAM VAMC, DURHAM, NC 27705-3875
(919) 286-0411
(919) 869-1343
Mailing address
508 FULTON ST, DURHAM VAMC, DURHAM, NC 27705-3875
(919) 286-0411
(919) 869-1343

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0101264177
VA
2084P0800X
Psychiatry Physician
Primary
0101264177
VA
2084P0800X
Psychiatry Physician
200100312
NC

Other

Enumeration date
03/22/2006
Last updated
08/08/2022
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